| NPI | 1982959128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJAL MANDAVIA President 865-693-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208M00000X Hospitalist |
| 363L00000X Nurse Practitioner | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-20 |